NYS Justice Center for the Protection of People with Special Needs (Justice Center) Criminal Background Check Unit Fax: 5185490464 Request for Staff Exclusion List Check Form The Justice Center maintains.
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How to fill out the Sel Form online
The Sel Form is an essential document for requesting a check against the Staff Exclusion List maintained by the Justice Center. This guide provides a step-by-step approach to help users complete the form accurately and efficiently online.
Follow the steps to fill out the Sel Form accurately.
- Click ‘Get Form’ button to obtain the form and open it in your preferred editing tool.
- Begin by filling out Part 1, which includes the applicant information. Please type or print clearly in the designated fields: Last Name, First Name, Middle Initial, Social Security Number, Alien Registration Number, Job Title, Date of Birth, and Facility/Provider Name & Address.
- In Part 2, provide the information for the Authorized Person. This includes their Name, Work Email, Facility/Provider Name, and Phone Number. Ensure that this information is also typed or printed clearly.
- Once you have completed filling out all sections of the form, review the information for accuracy. Make any necessary corrections.
- After verifying the details, save the changes to your document. You may download or print the completed form for your records.
- Finally, submit the form as instructed by faxing it to the Justice Center’s Criminal Background Check unit.
Complete your documents online to ensure a smooth and efficient process.
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